NPI | 1417517384 |
---|---|
Doing Business As | BEACH FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | COURTNEY HOLMES SUGGS Dentist 843-798-1662 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-06-13 |
Last Update Date | 2024-10-02 |